. A practical manual of the treatment of club-foot. the heel in position, and fastening at c, an ironhook on outside of heel cup. d. Sole of shoe, with cushions and straps, tosecure the foot in front of the medio-tarsal articulation, e. Joint connect-ing sole with heel. /. Elevated plate of iron properly cushioned to makepressure against base of first metatarsal hone. g. Steel spring connectingshoe with h strap, to go around the upper part of the leg. Jc. Joint oppo-site the ankle. I. Stationary hook, opposite little toe, for attaching the In-dia-rubber muscles, m, m. India-rubber tuhings, wit
. A practical manual of the treatment of club-foot. the heel in position, and fastening at c, an ironhook on outside of heel cup. d. Sole of shoe, with cushions and straps, tosecure the foot in front of the medio-tarsal articulation, e. Joint connect-ing sole with heel. /. Elevated plate of iron properly cushioned to makepressure against base of first metatarsal hone. g. Steel spring connectingshoe with h strap, to go around the upper part of the leg. Jc. Joint oppo-site the ankle. I. Stationary hook, opposite little toe, for attaching the In-dia-rubber muscles, m, m. India-rubber tuhings, with chains attached, forthe purpose of making flexion and eversion. BALL-AND-SOCKET SHOE. 59 the most satisfactory results, the child in a shorttime after their adjustment running about the lecture-room with her feet on the floor in a natural posi-tion, which had never been accomplished by any ofthe numerous instruments she had formerly January of the present year I improved thisshoe by putting in the sole, opposite the medio-tarsal Fig. articulation, a hall-cmd-socJcet, or universal joint, in-stead of the hinge-joint, which permitted only lat-eral movements. In addition, the shoe has beenmade more comfortable and convenient by a slight 60 CKOSBYS SHOE. heel, and by making the anterior part of the solelike that of an ordinary shoe, and not so clumsy asthat of most club-foot shoes. The upper leatherlaces neatly over the foot, adapting itself more per-fectly than if arranged with straps and buckles.(See Fig. 18.) The shoe as applied is seen in and 43. The shoe pictured above is arranged for valgusor varus. There is really no essential differencebetween the different forms of talipes, and the sin-gle principle is to apply the artificial muscles insuch position as shall best supply the place of thoseparalyzed. My friend Prof. A. B. Crosby informs me thathe has made a very cheap and serviceable substitutefor my shoe, in the following manner: Having pro-cured a pai
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